Individual
DR. OLAYIWOLA C OLAGBEGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11155 DUNN RD STE 309E, SAINT LOUIS, MO 63136-6111
(314) 953-8799
Mailing address
11155 DUNN RD STE 309E, SAINT LOUIS, MO 63136-6111
(314) 953-8799
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
036099505
IL
207RG0100X
Gastroenterology Physician
Primary
114046
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100011347
MEDICARE RAILROAD
MO
05
—
209698901
—
MO
Enumeration date
08/17/2006
Last updated
01/11/2023
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